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General NPI Number Information
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NPI Number | 1639689441
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Entity Type | Organization
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Legal Business Name | SLEEP CYCLE CENTER LLC
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Dates
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Enumeration Date | 10/06/2017
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 10900 RESEARCH BLVD STE 140C
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City | AUSTIN
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State | TX
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Zip | 78759-5774
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Country | US
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Telephone | 512-645-0818
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Fax | 512-645-0646
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Provider Business Mailing Address
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Address Line | 10900 RESEARCH BLVD STE 160C #78
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City | AUSTIN
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State | TX
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Zip | 78759-5718
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Country | US
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Telephone | 512-417-2001
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. CHADWICK RHETT DENMAN
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Credential | DDS
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Telephone | 512-645-0818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 22794
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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